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KELLIE JENO
NPI 1073363461
Peer Specialist in Van Buren, AR

Active since March 26, 2024
2705B OAK LN, VAN BUREN, AR 72956(479) 471-5950(479) 471-5997 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Jeno NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE JENO (NPI 1073363461) is an individual peer specialist in Van Buren, Arkansas and active in the NPI registry since March 2024. She maintains a secondary practice location in Fort Smith.

NPPES Registry Identity

NPI1073363461
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLIE JENO
Location Address2705B OAK LNVan Buren, AR 72956-4816
Mailing AddressPo Box 11818Fort Smith, AR 72917-1818 · (479) 452-6650
Phone(479) 471-5950
Fax(479) 471-5997
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1073363461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2705B OAK LN, Van Buren, AR 72956
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Other Names 1

Former Name (1)Kellie Adams

Secondary Practice Location 1

Location 13111 S 70th StFort Smith, AR 72903-5017 · Phone (479) 452-6650 · Fax (479) 452-5847

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH BROWN
Case Manager/Care Coordinator
2705B OAK LN
VAN BUREN, AR 72956
Crawford County (479) 471-5950
ASHLEY BEYERLE
Social Worker
2705B OAK LN
VAN BUREN, AR 72956
Crawford County (479) 471-5950
ADAM BOYD
Peer Specialist
2705B OAK LN
VAN BUREN, AR 72956
Crawford County (479) 474-8084
KENDRA BROWN PLMSW
Social Worker
2705B OAK LN
VAN BUREN, AR 72956
Crawford County (479) 452-6650
HANNAH LOPEZ LCSW
Social Worker (Clinical)
2705B OAK LN
VAN BUREN, AR 72956
Crawford County (479) 471-5950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Jeno's NPI number?

The NPI number for Kellie Jeno is 1073363461. It was assigned to this individual provider in the NPPES registry on March 26, 2024. The provider is also known as Kellie Adams.

Where is Kellie Jeno located?

Kellie Jeno practices at 2705B Oak Ln, Van Buren, AR 72956. The listed phone number is (479) 471-5950.

What is Kellie Jeno's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kellie Jeno was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.